Instride Foot and Ankle Specialists, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC

Practice address

626 Clark Dr
Lincolnton, NC 28092-3719

Phone

(704) 732-4361

Fax

(704) 849-2928

NPI assigned

Nov 5, 2012

Last updated

Jun 30, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin L KillianNPI 1225023930

Title

Partner

Phone

(704) 847-9788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Lee Killian, DPM

  • Podiatrist
  • Matthews, NC
  • NPI 1225023930
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1083968614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W JOHN ST",
            "address_2": "STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055483",
            "telephone_number": "704-847-9788",
            "fax_number": "704-849-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CLARK DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923719",
            "telephone_number": "704-732-4361",
            "fax_number": "704-849-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-847-9788",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.